Eligible Health Care Expenses

The following information is general and may be changed or updated without notice. If there is a difference between this list and your employer's plan documents, your employer's plan documents will govern. Please see your employer's Summary Plan Description for more information about which health care expenses can be reimbursed from you health care FSA.

Effective January 1, 2011 over-the-counter medicines will not be FSA-eligible without a doctor's prescription as a result of Health Care Reform.

Browse our Health Care FSA Expenses Table:

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Health Care FSA Expenses
Expense Type	Eligible	Requires Letter of Medical Necessity (LOMN)	Medicine/ Drug Requires an Rx	Ineligible	Description
Ultrasound	X				The cost of an ultrasound for medical care (including prenatal care) is an eligible medical expense.
Ultrasound, Pre-Natal	X				The cost of an ultrasound ordered by a health care professional to monitor the growth and condition of the fetus is an eligible medical expense, even if the benefit plan does not provide reimbursement.
				X	The cost of an ultrasound that is not ordered by a health care professional or is not Intended to monitor the growth and condition of the fetus is not an eligible expense.
Umbilical Cord Blood					See Cord Blood and Storage.
Urinalysis	X				The cost of urinalysis for medical conditions, including but not limited to, court ordered drug and alcohol testing both in-home and doctor's office, is an eligible medical expense.
Usual, Customary and Reasonable (UCR) Charges Above					See Reasonable & Customary (R&C).
UVR Treatments		X			A health care professional must provide evidence of medical necessity for the cost of ultra violet light treatments to be an eligible medical expense. Include evidence of medical necessity (i.e., a doctor's note or LOMN that specifically identifies that the recommendation and expense is for treatment of the medical condition) with the request for reimbursement.

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